Postpartal Family (Psychological Changes) Flashcards

1
Q

What is a period of 6 weeks after delivery during which the reproductive system and body returns to normal?

A

Postpartum or Puerperium

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2
Q

What is another name for Postpartum or Puerperium?

A

4th Trimester of Pregnancy

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3
Q

Immediate postpartum occurs within

A

first 24 hours

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4
Q

Early postpartum occurs within

A

First week

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5
Q

Late postpartum occurs within

A

2nd to 6th week

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6
Q

What are retrogressive changes in the mother?

A

involution of uterus and vagina

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7
Q

What are progressive changes in the mother?

A

production of milk for lactation, restoration of the normal menstrual cycle, and beginning of a parenting role

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8
Q

Who came up with the three stages of Postpartum?

A

Reva Rubins

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9
Q

What are the three stages of Postpartum?

A
  • Taking in
  • Taking hold
  • Letting go (taking over)
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10
Q

Taking in phase

Focused on ________

A

self

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11
Q

Taking in phase

dependent on others for ______ __ ______

A

help in care

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12
Q

Taking in phase

needs ___________

A

assistance

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13
Q

Taking in phase

__________ _________ difficult

A

decision making

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14
Q

Taking in phase

_________-_______-________ needs paramount

A

comfort-rest-food

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15
Q

Taking in phase

relives __________ experience

A

delivery

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16
Q

Taking in phase usually occurs __-__ days PP

17
Q

Taking hold phase

Moving from ___________ to ______________

A

dependence to independence

18
Q

How are the energy levels and the focus on infant in the Taking Hold Phase?

A

increased energy level; increased focus on infant

19
Q

Taking Hold Phase

self care, focus on __________, bladder, ___________

A

bowels; breastfeeding

20
Q

Taking Hold Phase

responds to _________, praise

A

instruction

21
Q

The Taking Hold Phase lasts from ___ day to __ weeks PP

A

3rd day to 2 weeks

22
Q

When does role transition occur in postpartum?

A

Letting Go Phase

23
Q

The Letting Go Phase lasts from the ___ week to the ___ week

A

2nd week to the 6th week

24
Q

Which of the maternal concerns and feelings involve feeling less important because the baby become’s everyone’s chief interest?

A

Abandonment

25
How can the couple alleviate the feeling of abandonment?
Making infant care a shared responsibility
26
Which of the maternal concerns and feelings make it difficult to feel positive immediately toward a child who does not meet their expectations?
Disappointment
27
Disappointment relief measures Handle the child warmly, to show you find the infant ____________ or even ___________
satisfactory or even special
28
Disappointment relief measures Comment on the child's _______ _______, such as long fingers, lovely eyes, and healthy appetite
good points
29
Which of the maternal concerns and feelings involve 50% of women experiencing some feelings of overwhelming sadness?
Postpartal blues or "baby blues"
30
Postpartal blues may be caused by hormonal changes, particularly the decrease in _________ and ____________ that occurred with delivery of the placenta
estrogen and progesterone
31
When do postpartal blues occur?
First week or two after birth
32
Postpartum blues usually resolve naturally in __ to __ weeks
2 to 3 weeks
33
Postpartum Blues Severe ________ can also occur in women during this time
psychosis
34
Postpartum Blues _______________ has been shown to help elevate baby blues and counteract the effects of the hormonal drop that occurs after childbirth
Breastfeeding
35
Postpartum blues Overconcern re: infant and self, and emotional lability are ________ during the first __-__ days after delivery
normal; 5 to 10 days
36
What is the maternal concern or feeling that involves rejection of infant, or fears that she may harm infant call for immediate intervention?
Postpartum Depression
37
What are some measures to treat Postpartum Depression?
- relaxation therapy - rest and nutrition - frequent contact with other adults